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Abstract：
BACKGROUND: In 2021, South Africa introduced a new 6-month internship in family medicine and primary care. This study aimed to assess the new rotation at district health facilities in the Western Cape.
METHODS: A descriptive survey of interns and supervisors, as phase-two of an exploratory sequential mixed methods study. Questionnaires were developed from a descriptive exploratory qualitative study. Data were analysed with the Statistical Package for Social Sciences.
RESULTS: Questionnaires were completed by 72 interns (response rate 21%) and 36 supervisors (response rate 90%), across 10 training programmes. Interns felt more independent (97.2%), confident (90.3%) and resilient (91.6%). They learnt to manage undifferentiated and chronic conditions (91.6%), to refer patients (94.3%) and conduct procedures (77.8%). Most interns were not exposed to community-based services (68.0%) and continuity of care (54.1%). Supervision was mostly adequate during the day (79.1%) and afterhours (80.6%). Many interns reported no structured teaching programme (41.7% - 55.6%). Most supervision was from medical officers and registrars. Supervisors saw interns as valuable members of the clinical team (100.0%), who required extra support and administration (42.5%). The majority of interns (75.0%) and supervisors (72.7%) thought the rotation was the right length and the best preparation for community service (67.6%).
CONCLUSIONS: The rotation met most expectations of the Health Professions Council of South Africa. Programmes need to improve exposure to community-orientated primary care, public health medicine, palliative and ongoing care. Supervision and orientation of interns needs improvement.Contribution: This is the first evaluation of the new family medicine internship programme in South Africa.
METHODS: A descriptive survey of interns and supervisors, as phase-two of an exploratory sequential mixed methods study. Questionnaires were developed from a descriptive exploratory qualitative study. Data were analysed with the Statistical Package for Social Sciences.
RESULTS: Questionnaires were completed by 72 interns (response rate 21%) and 36 supervisors (response rate 90%), across 10 training programmes. Interns felt more independent (97.2%), confident (90.3%) and resilient (91.6%). They learnt to manage undifferentiated and chronic conditions (91.6%), to refer patients (94.3%) and conduct procedures (77.8%). Most interns were not exposed to community-based services (68.0%) and continuity of care (54.1%). Supervision was mostly adequate during the day (79.1%) and afterhours (80.6%). Many interns reported no structured teaching programme (41.7% - 55.6%). Most supervision was from medical officers and registrars. Supervisors saw interns as valuable members of the clinical team (100.0%), who required extra support and administration (42.5%). The majority of interns (75.0%) and supervisors (72.7%) thought the rotation was the right length and the best preparation for community service (67.6%).
CONCLUSIONS: The rotation met most expectations of the Health Professions Council of South Africa. Programmes need to improve exposure to community-orientated primary care, public health medicine, palliative and ongoing care. Supervision and orientation of interns needs improvement.Contribution: This is the first evaluation of the new family medicine internship programme in South Africa.
摘要：
背景：2021年，南非引入了为期6个月的家庭医学和初级保健新实习。这项研究旨在评估西开普省地区医疗机构的新轮换。
方法：对实习生和主管的描述性调查，作为探索性序贯混合方法研究的第二阶段。问卷是从描述性探索性定性研究中得出的。使用社会科学统计软件包对数据进行了分析。
结果：问卷调查由72名实习生（回复率21％）和36名主管（回复率90％）完成，10个培训项目。实习生感到更加独立（97.2％），自信（90.3%）和弹性（91.6%）。他们学会了管理未分化和慢性疾病（91.6％），转诊患者（94.3%）和进行手术（77.8%）。大多数实习生没有接受社区服务(68.0%)和连续性护理(54.1%)。白天（79.1％）和下班后（80.6％）的监督大多足够。许多实习生报告没有结构化的教学计划（41.7％-55.6％）。大多数监督来自医务人员和注册人员。主管将实习生视为临床团队的宝贵成员(100.0%)，他们需要额外的支持和管理(42.5%)。大多数实习生（75.0％）和主管（72.7％）认为轮换是正确的时间，也是社区服务的最佳准备（67.6％）。
结论：轮换符合南非卫生职业委员会的大多数期望。方案需要改善对面向社区的初级保健的接触，公共卫生医学，姑息治疗和持续治疗。实习生的监督和定位需要改进。供稿：这是对南非新的家庭医学实习方案的首次评价。
方法：对实习生和主管的描述性调查，作为探索性序贯混合方法研究的第二阶段。问卷是从描述性探索性定性研究中得出的。使用社会科学统计软件包对数据进行了分析。
结果：问卷调查由72名实习生（回复率21％）和36名主管（回复率90％）完成，10个培训项目。实习生感到更加独立（97.2％），自信（90.3%）和弹性（91.6%）。他们学会了管理未分化和慢性疾病（91.6％），转诊患者（94.3%）和进行手术（77.8%）。大多数实习生没有接受社区服务(68.0%)和连续性护理(54.1%)。白天（79.1％）和下班后（80.6％）的监督大多足够。许多实习生报告没有结构化的教学计划（41.7％-55.6％）。大多数监督来自医务人员和注册人员。主管将实习生视为临床团队的宝贵成员(100.0%)，他们需要额外的支持和管理(42.5%)。大多数实习生（75.0％）和主管（72.7％）认为轮换是正确的时间，也是社区服务的最佳准备（67.6％）。
结论：轮换符合南非卫生职业委员会的大多数期望。方案需要改善对面向社区的初级保健的接触，公共卫生医学，姑息治疗和持续治疗。实习生的监督和定位需要改进。供稿：这是对南非新的家庭医学实习方案的首次评价。
